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General NPI Number Information
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NPI Number | 1659541126
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Entity Type | Individual
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Provider Name | CHELYNE JEANETTE CUNNINGHAM-SULLIVAN LISW
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Gender | Female
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 12/03/2018
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Provider Practice Location Address
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Address Line | 939 OFFICE PARK RD STE 103
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City | WEST DES MOINES
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State | IA
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Zip | 50265-2505
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Country | US
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Telephone | 515-221-1989
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Fax |
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Provider Business Mailing Address
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Address Line | 939 OFFICE PARK RD STE 103
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City | WEST DES MOINES
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State | IA
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Zip | 50265-2505
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Country | US
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Telephone | 515-221-1989
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 006960
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License Number State | IA
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